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Broadway Respite And Home Care
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wayne, New Jersey
NPI 1407446586

Broadway Respite And Home Care is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fair Lawn, NJ. Broadway Respite And Home Care practices in Wayne, NJ. The NPI Number for Broadway Respite And Home Care is 1407446586 and holds a License No. (New Jersey).

The current practice location address for Broadway Respite And Home Care is 4 Berry Dr, Wayne, NJ and can be reached out via phone at 201-703-3980 and via fax at 201-703-3984.

Location: 4 Berry Dr, Wayne, NJ, 07410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407446586
Provider Name
Broadway Respite And Home Care
Credential
Provider Entity Type
Organization
Address
4 Berry Dr, Wayne, NJ, 07410
Phone Number
201-703-3980
Fax Number
201-703-3984
Provider Enumeration Date
01/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0519049 05 NJ
institution
Provider Business Practice Location Address Details
Address
4 Berry Dr
City
Wayne
State
New Jersey
Zip
07470
Phone Number
201-703-3980
Fax Number
201-703-3984
person
Provider Business Mailing Address Details
Address
4 Berry Dr
City
Wayne
State
New Jersey
Zip
07470
Phone Number
201-703-3980
Fax Number
201-703-3984
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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